Menopause
brings with it certain vaginal changes, some of which may be positive
and some of which may be less so. Because of the changing estrogen
levels in your body, you may experience dryness. Also, the tissues
lining your vagina and urethra (opening to your bladder) change.
These changes may contribute to greater sensitivity, burning or
itchiness. You may also experience a higher incidence of urinary
tract or vaginal
infections. The higher risk of infection can sometimes lead to
anxiety about having sex. You can treat vaginal dryness with over-the-counter
gels or suppository lubricants, such as KY Jelly, sold at most
pharmacies.
Sexual intercourse may put pressure on your abdomen that can contribute
to stress incontinence. If so, urinate before engaging in sexual
activity. If this is a problem, see the second on incontinence.

The
good news is that some women feel particularly liberated about
sex after menopause because they don’t have anxiety about
the possibility of becoming pregnant.